The 2025 Aspiring Executive Academy (AEA) Nomination Form

Thank you for your interest in the Aspiring Executive Academy! If selected, the program tuition is $4,500, which includes full admission into the 2025 Ascend Convention, a one year complimentary Ascend Executive Network membership and quarterly mentoring sessions. Program participants are responsible for their own lodging and transportation costs.

Program Criteria: This nomination-based program is only limited to Senior executives that currently hold a VP, SVP or GM role (or equivalent), specializing within an operating vertical, whose next role will be a CXO at a Fortune 1000 or equivalent company. Program nominations must have 20+ years of working experience and are seeking or currently hold a board seat for a Fortune 1000 company.
Nominee Information
Name of Nominee*

First NameLast Name
Title of Nominee*
Company of Nominee*
Years of Experience of Nominee*
Email Address of Nominee*
example@example.com
Phone Number*
Please enter a valid phone number.
Nomination Type*
Kindly input the Corporate Sponsor code for the 2024 Convention OR enter the name of the Corporate Sponsor below:
Nominator Information: (if applicable)

If you are nominating yourself, please enter N/A below
Name of Nominator*

First NameLast Name
Title of Nominator*
Company of Nominator*
Nominator Relationship to Nominee*
Email Address of Nominator*
example@example.com
Phone Number of Nominator*
Please enter a valid phone number.
Nominee Qualifications:
Brief description on why this executive is being nominated:*
What is the aspired next role/pathway (please include 2-3 potential next roles):*
LinkedIn Profile of Nominee*
Attach Bio or Resume*

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Attach a colored/high resolution headshot*

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Other Information:
Are you registered for the 2024 National Convention?*

YesNo
If you are registered, please provide your registration # (if known)
Should be Empty:

Nominee Information

Nominator Information: (if applicable)

Nominee Qualifications:

Other Information: